Doug Hodde is a Family Medicine in Tyler, Texas. Doug Hodde practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Doug Hodde is 1710947957. The last update date is 2020-06-18.
Doug Hodde's current location address is 3593 E Grande Blvd, Tyler, Texas. You can contact this provider via phone number 9038392585 and fax number 9035953005. The mailing address for Doug Hodde is 3593 E Grande Blvd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doug Hodde |
|---|---|
| Address | 3593 E Grande Blvd, Tyler, Texas |
| Phone Number | 9038392585 |
| Fax Number | 9035953005 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710947957 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2020-06-18 |
Provider Mailing Address Detail
| Address | 3593 E Grande Blvd |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757071400 |
| Phone Number | 9038392585 |
| Fax Number | 9035953005 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | J2079 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75-2616977-029 | TX | TRICARE | |
| 8EU189 | TX | BCBS | |
| 75-2616977-129 | TX | TRICARE | |
| 75-2616977-023 | TX | TRICARE | |
| P01402023 | RAILROAD MEDICARE | ||
| 129731902 | TX | -- | |
| 129731906 | TX | -- |
Post Comment/ Review Below
What is the Doug Hodde's unique identification number?
The Doug Hodde has been assigned the NPI (National Provider Identifier) Number 1710947957 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Doug Hodde is geographically located?
The Doug Hodde is physically situated at the following location: 3593 E Grande Blvd, Tyler, TX, 757071400.
What is the Doug Hodde's specialty and taxonomy code?
The Doug Hodde's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Doug Hodde receive its 1710947957 assignment from the Centers for Medicare & Medicaid Services?
The Doug Hodde was assigned its 1710947957 by the Centers for Medicare & Medicaid Services on 2006-03-23.
As of what date was the information regarding Doug Hodde, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Doug Hodde, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-06-18.